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[Double orifice mitral valve associated with bicuspid aortic valve]
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|September 1, 1989
Summary
This case report details a rare instance of double orifice mitral valve (DOMV) combined with a bicuspid aortic valve in a 63-year-old man. The patient successfully underwent valve replacement surgery.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Double orifice mitral valve (DOMV) is a rare congenital cardiac anomaly.
- Bicuspid aortic valve is a common congenital heart defect, but its association with DOMV is exceptionally rare.
Observation:
- A 63-year-old male presented with symptoms suggestive of mitral valve dysfunction.
- Preoperative echocardiography revealed posterior mitral leaflet prolapse and mitral regurgitation.
- Echocardiography failed to identify the underlying double orifice mitral valve (DOMV).
Findings:
- The patient was diagnosed with a coexisting double orifice mitral valve (DOMV) and bicuspid aortic valve.
- This represents the first reported case of DOMV associated with a bicuspid aortic valve in Japan.
- Surgical intervention involved aortic and mitral valve replacement.
Implications:
- This case highlights the diagnostic challenges of rare congenital heart malformations like DOMV, even with advanced imaging.
- The successful surgical outcome underscores the importance of timely intervention for complex valvular heart disease.
- Further research into the embryological basis and clinical management of combined DOMV and bicuspid aortic valve is warranted.